Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.66 / $108.89 / $193.70	Facility		$49.66	$108.89	$193.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $35.47 / $124.50	Professional		$30.41	$35.47	$124.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.86 / $83.56 / $104.45	Professional		$52.86	$83.56	$104.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.07 / $80.62 / $168.99	Professional		$46.07	$80.62	$168.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $77.72 / $218.83	Facility		$46.07	$77.72	$218.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $47.45 / $125.25	Professional		$27.64	$47.45	$125.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $59.44 / $93.87 / $144.43	Facility		$59.44	$93.87	$144.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $93.87 / $131.29	Professional		$55.33	$93.87	$131.29
United Facility/Professional Facility Modifier Low / Median / High Price $69.11 / $69.11 / $69.11	Facility		$69.11	$69.11	$69.11
United Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $30.71 / $105.96	Professional		$27.64	$30.71	$105.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $46.07 / $46.07	Professional		$36.40	$46.07	$46.07